Mapiritsi 10 abwino kwambiri a bloating ndi gasi
Chochitika chofunikira chili patsogolo, koma kodi pali mphepo yamkuntho m'mimba mwanu? Tidzawona kuti ndi mankhwala ati omwe amagwira ntchito komanso othamanga kwambiri pakutupa komanso kupanga mpweya omwe angagulidwe ku pharmacy, ndi zomwe muyenera kuyang'ana posankha

Kutupa (kutuluka m'mimba) ndi chimodzi mwazinthu zomwe zimakhudzidwa kwambiri ndi kusokonezeka kwa m'mimba. Munthu amadandaula za kumverera kwa bloated ndi zonse pamimba, limodzi ndi kwambiri mpweya mapangidwe1. Ndipo ngakhale flatulence palokha si matenda oopsa, vutoli likhoza kuyambitsa kusapeza bwino ndi manyazi.1.

Mndandanda wa mapiritsi 10 otsika mtengo komanso othamanga kwambiri otupa ndi mpweya malinga ndi KP

ndi General practitioner Oksana Khamitseva talemba mndandanda wamankhwala otsika mtengo, othamanga kwambiri otupa komanso gasi ndikukambirana momwe angagwiritsire ntchito moyenera. Dziwani kuti kudzipangira mankhwala kungayambitse zotsatira zosayembekezereka, choncho musanagwiritse ntchito mankhwala, muyenera kufunsa katswiri.

1. Espumizan

Njira yofulumira kwambiri yothetsera kutupa ndi kulira m'mimba. Espumizan sichimakhudza kagayidwe kachakudya, sichimalowetsedwa m'magazi ("ntchito" mu lumen ya m'mimba), ilibe lactose ndi shuga. Zomwe zimagwiritsidwa ntchito pa mankhwalawa ndi simethicone, yomwe ndi njira yabwino yothetsera kutupa. Njira ya chithandizo ndi masiku 14.

Contraindications: hypersensitivity kwa zigawo zikuluzikulu za mankhwala, m`mimba kutsekeka, ana osakwana zaka 6.

osakhala osokoneza bongo, otetezeka kwa odwala matenda ashuga komanso anthu omwe ali ndi vuto la lactose.
kupangidwa kwachilendo, kukwera mtengo kwa mankhwala.
onetsani zambiri

2. Meteospasmil

Mankhwalawa ali ndi zotsatira zovuta: amatsitsimutsa bwino ndikutsitsimutsa minofu ya matumbo, amachepetsa mapangidwe a mpweya. Meteospasmil amaperekedwa kwa flatulence ndi bloating pamimba, komanso nseru, belching ndi kudzimbidwa. Mankhwalawa ndi abwino kwa odwala omwe ali ndi matumbo a hypertonicity, omwe nthawi zambiri amavutika ndi kudzimbidwa kwa spastic.

Contraindications: hypersensitivity kwa zigawo zikuluzikulu za mankhwala, zoletsedwa ana osapitirira zaka 14 zakubadwa.

oyenera kukonzekera wodwala mayeso osiyanasiyana (ultrasound, endoscopy ya m'mimba kapena matumbo), amatsitsimutsa ndikutsitsimutsa minofu ya m'mimba.
mtengo wapamwamba, osavomerezeka kwa amayi apakati komanso oyamwitsa. 
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3. Simethicone ndi fennel

The mankhwala zotchulidwa bloating ndi colic, monga bwino relieves kuchuluka mapangidwe mpweya. Zomwe zimagwiritsidwa ntchito pa makapisozi ndi simethicone ndi fennel mafuta ofunikira. Fennel imathetsa chilakolako cha kusanza ndipo ndi antispasmodic yachilengedwe.

Simethicone ndi fennel imathandizira chimbudzi, ilibe "zotsatira" ngakhale ndikugwiritsa ntchito nthawi yayitali.

Contraindications: osavomerezeka kwa amayi apakati ndi oyamwitsa, komanso ana osakwana zaka 6. 

mtengo wotsika mtengo, njira yabwino yotulutsira.
thupi lawo siligwirizana ndi zotheka ndi munthu tsankho.
onetsani zambiri

4. Pancreatin

Pancreatin imakhala ndi chophatikizira cha dzina lomwelo - puloteni yomwe imathandizira kagayidwe kazakudya zama protein, mafuta ndi chakudya ndikuwongolera chimbudzi. Mankhwala amalimbana bwino ndi zizindikiro za nseru, flatulence, kulira ndi kulemera m'mimba.

Mapiritsi ayenera kumwedwa pakamwa, popanda kutafuna komanso ndi madzi osakhala amchere (madzi, timadziti ta zipatso).

Contraindications: pachimake ndi aakulu (mu pachimake siteji) kapamba ndi lactose tsankho, ana osakwana zaka 6.

mtengo wotsika mtengo, njira yabwino yotulutsira.
ntchito mosamala pa mimba ndi kuyamwitsa.
onetsani zambiri

5. Antareit 

Mapiritsi omwe amatha kutafuna Antareyt amathandizira mwachangu pakutupa, flatulence ndi kutentha pamtima. Zochita za mankhwalawa zimayamba pakatha mphindi zingapo mutatha kugwiritsa ntchito ndipo zimakhala ndi zotsatira zokhalitsa. Antarite amateteza bwino chapamimba mucosa, kupanga zoteteza "filimu" pamwamba pake. Komanso, mankhwala amachepetsa acidity chapamimba madzi.

Contraindications: hypersensitivity ku zigawo za mankhwala, kwambiri aimpso kulephera, fructose tsankho (chifukwa cha kukhalapo kwa sorbitol pokonzekera).

kumawonjezera chitetezo cha m`mimba mucosa. Mapiritsiwa ndi osavuta kutafuna ndipo safuna madzi akumwa.
osavomerezeka kwa amayi apakati ndi oyamwitsa, komanso ana osakwana zaka 12.
onetsani zambiri

6. Smecta

Smecta ndi imodzi mwazokonzekera zodziwika bwino komanso zothandiza za sorbent. Zimalimbana bwino ndi poizoni, zonyansa, komanso mabakiteriya ndi mavairasi omwe ali m'mimba. The sorbent amagwiritsidwa ntchito potupa, kuwonjezeka kwa mpweya, kupwetekedwa kwa matumbo ndi kutentha kwa mtima.2. Smecta ali ndi zizindikiro zofanana kwa ana ndi akulu.

Contraindications: hypersensitivity kwa zigawo zikuluzikulu, kudzimbidwa kosatha, kutsekeka kwa m'mimba, kusalolera kwa fructose mwa odwala.

ovomerezeka kuti agwiritsidwe ntchito ndi amayi apakati ndi oyamwitsa, komanso ana kuyambira mwezi umodzi.
osakhala oyenera anthu akudwala matenda kudzimbidwa.
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7. Trimedat

Trimedat ndi antispasmodic yothandiza yomwe imalimbana bwino ndi kusapeza bwino m'mimba. Chachikulu yogwira pophika zikuchokera trimebutine, amene mofulumira ndi bwino kuthetsa kusapeza ndi ululu pamimba, relieves bloating ndi kutentha pa chifuwa.3.

Contraindications: hypersensitivity kwa zigawo zikuluzikulu za mankhwala, m`mimba kutsekeka, lactose tsankho odwala, mimba.

ali ndi zotsatira zabwino za analgesic.
sayenera kugwiritsidwa ntchito ndi ana osakwana zaka 3 zaka, ndi mkulu mtengo mu gawo.
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8. Duspatalin

The mankhwala lili mevebrine, amene ali wabwino antispasmodic, choncho nthawi zotchulidwa ululu ndi kukokana pamimba, kusapeza bwino ndi bloating. Duspatalin samangokhala ndi analgesic, komanso achire, kuthana ndi zizindikiro za "matumbo osakwiya"4. Mapiritsi ayenera kumwedwa mphindi 20 musanadye ndi madzi ambiri.

Contraindications: osavomerezeka kwa amayi apakati ndi oyamwitsa, komanso ana osakwana zaka 18. 

yabwino mawonekedwe a kumasulidwa, mwamsanga relieves ululu ndi kuwonjezeka mpweya mapangidwe.
sayenera kumwedwa ndi anthu osapitirira zaka 18, komanso amayi apakati ndi oyamwitsa.
onetsani zambiri

9. Metenorm

Metenorm si mankhwala, koma chakudya chowonjezera, gwero lina la inulin. The mankhwala bwino matumbo ntchito, amathandiza bloating ndi kuchuluka mpweya mapangidwe. Metenorm imakhala ndi zovuta chifukwa cha kapangidwe kake:

  • inulin imathandizira matumbo a microflora;
  • fennel kuchotsa kumalepheretsa kudzikundikira gasi;
  • Tingafinye dandelion ali odana ndi kutupa kwenikweni;
  • timbewu ta timbewu timathandiza ndi bloating.

Contraindications: munthu tsankho kwa zigawo zikuluzikulu za mankhwala, osavomerezeka kwa amayi apakati ndi oyamwitsa, komanso ana osakwana zaka 18. 

yabwino mawonekedwe a kumasulidwa, chilengedwe zikuchokera, bwino matumbo ntchito.
thupi lawo siligwirizana ndi zotheka.
onetsani zambiri

10. Plantex

Njira yabwino yothetsera kutupa ndi kupanga mpweya kwa iwo omwe amayamikira chilengedwe. Plantex imatchulidwanso kuti matumbo a m'mimba komanso kupewa kwa ana akhanda.

Chofunikira chachikulu cha Plantex ndi zipatso za fennel. Fennel imathandiza m'mimba chifukwa imakhala ndi mafuta ofunikira, ma organic acid ndi mavitamini. The chida relieves ululu ndi flatulence ndi facilitates ndimeyi mpweya. The yogwira zinthu mankhwala kwathunthu odzipereka ndipo mwamsanga kuthetsa kutupa.

Contraindications: hypersensitivity ku zigawo zikuluzikulu za mankhwala, galactose / shuga malabsorption syndrome, lactase akusowa, galactosemia.

mtengo wotsika mtengo, kapangidwe kachilengedwe, kololedwa kwa makanda.
muli shuga, ali wamphamvu yeniyeni fungo.

Momwe mungasankhire mapiritsi otupa ndi kupanga mpweya

Posankha mankhwala otupa ndi kuwonjezeka kwa mpweya, m'pofunika kutsatira njira yophatikizira. Pali mfundo zotsatirazi zochizira flatulence:

  • kuthetsa chifukwa (kukonza zakudya, normalization wa m'mimba microflora, mankhwala yotupa ndi matenda opatsirana a m'mimba thirakiti, etc.);
  • kuchotsa gasi m'matumbo5.

Pambuyo pofufuza, dokotala adzatha kudziwa chomwe chimayambitsa flatulence ndikupatula matenda aakulu (mwachitsanzo, matenda a ndulu) pamndandanda wa matenda omwe angathe.

Wodwalayo amapatsidwa chithandizo chokwanira mogwirizana ndi chifukwa chomwe chinayambitsa kutupa. Nthawi zina dokotala akhoza kupereka mankhwala ofewetsa tuvi tolimba komanso mankhwala omwe amathandizira kuti matumbo azitha kuyenda bwino.6.

Mankhwala onse otupa amatha kugawidwa m'magulu angapo: ma enterosorbents, defoamers, kukonzekera kwa enzyme, ma probiotics, mankhwala azitsamba.6. Kusankhidwa bwino ndi mankhwala a dokotala kumapangitsa wodwalayo kuchotsa chizindikiro chosokoneza chosasangalatsa.

Ndemanga za madokotala za mapiritsi a kutupa ndi kupanga mpweya

Kutupa ndi gasi ndi vuto lomwe anthu ambiri akulu ndi ana amakumana nalo. Izi ndi pathological ndondomeko akufotokozera chifukwa indigestion ndi limodzi ndi kudzikundikira kwa mpweya m`matumbo.

Madokotala ambiri amakhulupirira kuti mankhwala othamanga komanso otsika mtengo amathandizira kuti kugaya chakudya kuzikhala bwino, kuchotseratu kuchuluka kwa mpweya ndikusintha moyo wabwino wa wodwalayo. Zodziwika kwambiri ndizokonzekera zomwe zili ndi simethicone (Espumizan) kapena fennel extract (Plantex, Metenorm).

Mafunso ndi mayankho otchuka

Wothandizira Oksana Khamitseva amayankha mafunso otchuka okhudza chithandizo cha kutupa.

Chifukwa chiyani kupanga gasi kumachitika?

- Zomwe zimayambitsa kutupa ndi kupanga mpweya nthawi zambiri ndi:

• Kudya mopitirira muyeso kwa zakudya zomwe zimayambitsa mpweya panthawi yopuma m'matumbo;

• dysbacteriosis m'mimba, kukula kwambiri kwa zomera;

• Kuwukira kwa parasitic;

• matenda aakulu a m`mimba thirakiti;

• kupanikizika komwe kumayambitsa dysbacteriosis ndi matenda opweteka a m'mimba.

Payokha, ndikufuna kuwunikira mndandanda wazinthu zomwe zingayambitse kutupa ndi kupanga mpweya:

• zipatso: maapulo, yamatcheri, mapeyala, mapichesi, apricots, plums;

• masamba: kabichi, beets, anyezi, adyo, nyemba, bowa, katsitsumzukwa;

• chimanga: tirigu, rye, balere;

• mkaka ndi mkaka: yogurt, ayisikilimu, tchizi zofewa;

• ufa: makeke, mkate wopangidwa kuchokera ku ufa wa rye.

Kodi mungamwe madzi otupa?

– Inde, mukhoza kumwa madzi, makamaka popeza ndi chilimwe ndi kutentha pabwalo. Koma zoyera, zosefedwa kapena zokhala ndi botolo. Ndi bloating, ndizoletsedwa kumwa zakumwa monga koumiss, kvass, mowa ndi madzi othwanima.

Ndi masewera otani omwe amathandiza kuchotsa mpweya?

- Nthawi zambiri, zinthu ziwiri zimatheka pakuwonjezeka kwa mpweya: kutulutsa mpweya wambiri komanso kuphulika. Ndipo ngati ndimeyi mpweya limasonyeza yachibadwa matumbo motility, bloating limasonyeza kuphwanya ntchito imeneyi. Matumbo "amayima", spasms. Izi zimayambitsa kupweteka m'mimba.

Kupititsa patsogolo matumbo motility, masewera olimbitsa thupi ndi othandiza kwambiri. Kuyenda, kuthamanga, kusambira ndi zabwino pa ntchitoyi. Koma masewera olimbitsa thupi atolankhani sayenera kuchitidwa, chifukwa amawonjezera kupanikizika m'mimba, zomwe zimatha kukulitsa vutoli.

Kodi njira yabwino yogona ndi mimba yotupa ndi iti?

- Kaimidwe mulingo woyenera pa kugona ndi bloating ndi kugona m'mimba mwako. Izi zimachepetsa kukangana kwa khoma la m'mimba ndikuchepetsa ululu. Pankhaniyi, mutu wa bedi uyenera kukwezedwa ndi 15-20 cm.

Pazizindikiro zilizonse za mawonekedwe a flatulence, ndikofunikira kufunsa upangiri wa dokotala wamkulu kapena gastroenterologist.

  1. Flatulence: kuzungulira kwa chidziwitso kapena bwalo la umbuli? Shulpekova Yu.O. Medical Council, 2013. https://cyberleninka.ru/article/n/meteorizm-krug-znaniya-ili-krug-neznaniya
  2. Kutuluka m'mimba. Zomwe zimayambitsa ndi chithandizo. Nogaller A. Magazine "Doctor", 2016. https://cyberleninka.ru/article/n/meteorizm-prichiny-i-lechenie
  3. Buku lolozera lamankhwala Vidal: Trimedat. https://www.vidal.ru/drugs/trimedat 17684
  4. Buku lolozera lamankhwala Vidal: Duspatalin. https://www.vidal.ru/drugs/duspatalin__33504
  5. Ivashkin VT, Maev IV, Okhlobystin AV et al. Malangizo a Russian Gastroenterological Association pakuzindikira ndi kuchiza EPI. REGGC, 2018. https://www.gastroscan.ru/literature/authors/10334
  6. Gastroenterology. Utsogoleri wa dziko. Kusindikiza kwachidule: manja. / Ed. VT Ivashkina, TL Lapina. M., 2012. https://booksee.org/book/1348790

Siyani Mumakonda